LIST OF SERVICES INCLUDED IN CONNECTICUT'S ALTERNATIVE BENEFIT PLAN (ABP) FOR MCLIP
LIST OF SERVICES INCLUDED IN CONNECTICUT'S ALTERNATIVE BENEFIT PLAN (ABP) FOR MCLIP Essential Health Benefit Category Medicaid State Plan Service Outpatient Hospital Services Physician Services Certified Pediatric or Family Nurse Practitioner Clinic Services Family Planning Services and Supplies Medical and Surgical Services by a Dentist Other Licensed Practitioners: Podiatry Services Dental Services for Adults (as substitute for chiropractic, infertility services, and hospice care for adults in the base benchmark plan) Home Health Services - Intermittent and Part-time Registered Nurse Federally Qualified Health Centers (FQHCs) Emergency Hospital Services Other Medical Services - Emergency Transportation EHB 3: Hospitalization Inpatient Hospital Services Nurse Midwife Services Inpatient Hospital Services - Maternity Physician Services - Maternity Inpatient Hospital Services - MH/SUD Outpatient Hospital Services - MH/SUD Physician Services - MH/SUD Other Practitioner: Psychologist Services Clinic Services - MH/SUD FQHCs - MH/SUD EHB 6: Prescription Drugs Prescription Drugs Home Health …
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LIST OF SERVICES INCLUDED IN CONNECTICUT'S ALTERNATIVE BENEFIT PLAN (ABP) FOR MCLIP Essential Health Benefit Category Medicaid State Plan Service Outpatient Hospital Services Physician Services Certified Pediatric or Family Nurse Practitioner Clinic Services Family Planning Services and Supplies Medical and Surgical Services by a Dentist Other Licensed Practitioners: Podiatry Services Dental Services for Adults (as substitute for chiropractic, infertility services, and hospice care for adults in the base benchmark plan) Home Health Services - Intermittent and Part-time Registered Nurse Federally Qualified Health Centers (FQHCs) Emergency Hospital Services Other Medical Services - Emergency Transportation EHB 3: Hospitalization Inpatient Hospital Services Nurse Midwife Services Inpatient Hospital Services - Maternity Physician Services - Maternity Inpatient Hospital Services - MH/SUD Outpatient Hospital Services - MH/SUD Physician Services - MH/SUD Other Practitioner: Psychologist Services Clinic Services - MH/SUD FQHCs - MH/SUD EHB 6: Prescription Drugs Prescription Drugs Home Health Services - PT/OT/ST/Audiology Home Health Services - Medical Supplies, Equipment and Appliances Orthopedic and Prosthetic Devices PT & Related Services - Physical Therapy PT & Related Services - Occupational Therapy PT & Related Services - Speech, Hearing & Language EHB 8: Laboratory Services Other Lab and X-Ray Services EHB 9: Preventive and Wellness Services and Chronic Disease Management A broad range of preventive services including: “A” and “B” services recommended by the United States Preventive Services Task Force; Advisory Committee for Immunization Practices (ACIP) recommended vaccines; preventive care and screening for infants, children and adults recommended by HRSA’s Bright Futures program/project; and additional preventive services for woman recommended by the Institute of Medicine (IOM). EHB 10: Pediatric Services including Oral and Vision Care Medicaid State Plan EPSDT Benefits Non-Emergency Medical Transportation (NEMT) Eyeglasses Dentures Nursing Facility Services Optometrist Services Respiratory Care Services Home Health Services - Home Health Aide Extended Services for Pregnant Woman Other 1937 Covered Benefits that are not Essential Health Benefits EHB 2: Emergency Services EHB 4: Maternity and Newborn Care EHB1: Ambulatory Patient Services EHB 5: Mental Health and Substance Use Disorder Services (MH/SUD) EHB 7: Rehabilitative and Habilitative Services and Devices